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Urodynamic findings in children with cerebral palsy.
Int J Urol. 2005 Aug; 12(8):717-20.IJ

Abstract

AIM

More than one-third of children with cerebral palsy are expected to present with dysfunctional voiding symptoms. The voiding dysfunction symptoms of the cerebral palsy patients in the present study were documented.

METHODS

Of the study group, 16 were girls and 20 were boys (mean age: 8.2 years). Children with cerebral palsy were evaluated with urodynamics consisting of flow rate, filling and voiding cystometry, and electromyography findings of the external urethral sphincter to determine lower urinary tract functions. Treatment protocols were based on the urodynamic findings. Anticholinergic agents to reduce uninhibited contractions and to increase bladder capacity were used as a treatment. Clean intermittent catheterization and behavioral modification were used for incomplete emptying.

RESULTS

Of the children, 24 (66.6%) were found to have dysfunctional voiding symptoms. Daytime urinary incontinence (47.2%) and difficulty urinating (44.4%) were the most common symptoms. Urodynamic findings showed that neurogenic detrusor overactivity (involuntary contractions during bladder filling) with a low bladder capacity was present in 17 (47.2%) children, whereas detrusor-sphincter dyssynergia was present in four patients (11%). The mean bladder capacity of patients with a neurogenic bladder was 52.2% of the expected capacity.

CONCLUSIONS

The present study concluded that voiding dysfunction was seen in more than half of the children with cerebral palsy, which is a similar result to other published studies. We propose that a rational plan of management of these patients depends on the evaluation of the lower urinary tract dysfunction with urodynamic studies. These children benefit from earlier referral for assessment and treatment.

Authors+Show Affiliations

Haydarpasa Numune Training and Research Hospital, Department of Urology, Istanbul, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16174044

Citation

Karaman, M Ihsan, et al. "Urodynamic Findings in Children With Cerebral Palsy." International Journal of Urology : Official Journal of the Japanese Urological Association, vol. 12, no. 8, 2005, pp. 717-20.
Karaman MI, Kaya C, Caskurlu T, et al. Urodynamic findings in children with cerebral palsy. Int J Urol. 2005;12(8):717-20.
Karaman, M. I., Kaya, C., Caskurlu, T., Guney, S., & Ergenekon, E. (2005). Urodynamic findings in children with cerebral palsy. International Journal of Urology : Official Journal of the Japanese Urological Association, 12(8), 717-20.
Karaman MI, et al. Urodynamic Findings in Children With Cerebral Palsy. Int J Urol. 2005;12(8):717-20. PubMed PMID: 16174044.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Urodynamic findings in children with cerebral palsy. AU - Karaman,M Ihsan, AU - Kaya,Cevdet, AU - Caskurlu,Turhan, AU - Guney,Soner, AU - Ergenekon,Erbil, PY - 2005/9/22/pubmed PY - 2005/12/24/medline PY - 2005/9/22/entrez SP - 717 EP - 20 JF - International journal of urology : official journal of the Japanese Urological Association JO - Int J Urol VL - 12 IS - 8 N2 - AIM: More than one-third of children with cerebral palsy are expected to present with dysfunctional voiding symptoms. The voiding dysfunction symptoms of the cerebral palsy patients in the present study were documented. METHODS: Of the study group, 16 were girls and 20 were boys (mean age: 8.2 years). Children with cerebral palsy were evaluated with urodynamics consisting of flow rate, filling and voiding cystometry, and electromyography findings of the external urethral sphincter to determine lower urinary tract functions. Treatment protocols were based on the urodynamic findings. Anticholinergic agents to reduce uninhibited contractions and to increase bladder capacity were used as a treatment. Clean intermittent catheterization and behavioral modification were used for incomplete emptying. RESULTS: Of the children, 24 (66.6%) were found to have dysfunctional voiding symptoms. Daytime urinary incontinence (47.2%) and difficulty urinating (44.4%) were the most common symptoms. Urodynamic findings showed that neurogenic detrusor overactivity (involuntary contractions during bladder filling) with a low bladder capacity was present in 17 (47.2%) children, whereas detrusor-sphincter dyssynergia was present in four patients (11%). The mean bladder capacity of patients with a neurogenic bladder was 52.2% of the expected capacity. CONCLUSIONS: The present study concluded that voiding dysfunction was seen in more than half of the children with cerebral palsy, which is a similar result to other published studies. We propose that a rational plan of management of these patients depends on the evaluation of the lower urinary tract dysfunction with urodynamic studies. These children benefit from earlier referral for assessment and treatment. SN - 0919-8172 UR - https://www.unboundmedicine.com/medline/citation/16174044/Urodynamic_findings_in_children_with_cerebral_palsy_ L2 - https://doi.org/10.1111/j.1442-2042.2005.01120.x DB - PRIME DP - Unbound Medicine ER -